A 25-year-old girl was taken into the emergency room by her boyfriend at 2am! Final confirmation: unable to recover! This habit caused her to accumulate water | surgery | emergency room

This season of the year is a busy time for urology departments in major hospitals.

The reporter learned from Li Huili Hospital of Ningbo Medical Center that the hospital received nearly 30 patients with urinary tract stones in a single day at most. Director of Urology, Long Huimin, reminds that stones are not a small problem. If not treated promptly, they can cause irreversible damage to the kidneys and even endanger life.

A 25-year-old girl drinks coffee and milk tea every day

Caught in the emergency room in the middle of the night

At 2am, 25-year-old Xiaohan was carried by her boyfriend into the emergency room of Li Huili Hospital. She covered her stomach and frowned tightly, her face pale and painful, unable to speak.

Around 11 pm, Xiaohan began to experience stomach pain. This kind of pain is different from eating bad food and having diarrhea in the past, and the pain is particularly strong. The pain was mainly in the waist, and she curled up in bed trembling. Seeing this situation, her boyfriend took her to the hospital. Along the way, Xiaohan was so painful that she couldn't even walk, which frightened her boyfriend.

The emergency doctor suspected that Xiaohan may have urinary tract stones based on symptoms, and immediately administered a painkillers and arranged for a CT scan. Based on the report, the doctor discovered a 1 centimeter sized stone at the lower end of Xiaohan's ureter.

Under the action of the medication, Xiaohan's pain was significantly reduced. She suddenly remembered that she had also experienced this kind of pain on a day in early July. But the pain didn't last long that day. She thought she had eaten something bad and didn't seek medical attention immediately.

Due to the large size of the stones, prolonged onset time, and moderate hydronephrosis in the left kidney, Xiaohan was transferred to the urology department for further treatment. Director Long Huimin immediately arranged a lithotripsy surgery for her. However, due to the stone remaining in Xiaohan's body for more than half a month, it has caused irreversible damage to the left kidney. Even if the stones have been cleared, there is still mild atrophy in the left kidney that cannot be restored.

This made Xiaohan regret it deeply, and what made her even more puzzled was how the stones in her body came about? Long Huimin carefully inquired about Xiaohan's lifestyle habits and found clues: Xiaohan usually doesn't like to drink hot water, only drinks coffee and milk tea, especially after sweating in hot weather, she would order one or two cups every day.

"Urinary tract stones are mostly formed due to the deposition and precipitation of substances in urine under various factors. People are prone to sweating in hot weather, and in addition, they drink less water. Urine concentration causes the crystals to become overly saturated, promoting crystal precipitation and increasing the probability of stone formation." Long Huimin analyzed.

Renal stones combined with urinary tract infections

50 year old sister suddenly goes into shock

In the eyes of many people, urinary tract stones are a disease that is easy to treat, but in fact, they are not.

Wang Dajie, 50, is obese and has suffered from diabetes for many years. A few days ago, she experienced symptoms of abdominal pain, stinging urination, and a high fever. After examination at the local hospital, it was diagnosed with kidney stones and urinary tract infection. So, local doctors performed extracorporeal lithotripsy surgery on him.

Unexpectedly, after the surgery, Sister Wang's body temperature not only did not drop, but even her blood pressure became abnormal, and she even went into shock. Quickly, Sister Wang was transferred to the emergency room of Li Huili Hospital.

Originally, Ms. Wang had already developed an infection before surgery. At this time, using extracorporeal lithotripsy not only failed to solve the problem, but also exacerbated the spread of the infection, directly leading to septic shock and causing urinary sepsis. The expert team actively adopted anti infection treatment and finally stabilized the condition.

1258 pieces, all taken out of the body!

Doctor's reminder: Many people have no symptoms, but they may be life-threatening

Patient Mr. Zhang, 42 years old, is an ordinary employee working in Shipai, Dongguan, Guangdong. He enjoys eating with friends after exercising, taking a sip of beer and meat.

In a recent physical examination, he was diagnosed with severe hydronephrosis in both kidneys, which was caused by stones in the upper right ureter and multiple stones obstructing the left kidney.

During the surgery, the doctor removed all the stones using only a soybean sized outlet; And holmium laser lithotripsy was performed on the right ureter for stone removal. The ureteral stones were discharged through the urethral opening without surgical scars, and the surgery was very successful. After the surgery, when examining the extracted stones, Mr. Zhang himself was surprised. He never expected there to be so many stones. The medical staff were also surprised to find 1258.

There are many reasons for the formation of stones, and the most common ones are metabolic abnormalities, urinary tract obstruction, infection, foreign bodies, etc. According to Mr. Zhang's lifestyle habits, Xu Xiaolong, Deputy Chief Physician of the Department of Urology at Dongguan Songshan Lake Central Hospital, analyzed that frequent drinking of beer, a high-fat and high protein diet, and frequent skipping water due to busy schedules are the main reasons for his kidney stones.

But from the occurrence of stones to the development of so many stones, Xu Xiaolong believes that it should be related to Mr. Zhang's lack of understanding of this disease. "There are many asymptomatic kidney stone patients, and many people think that without pain, treatment can be unnecessary.". Xu Xiaolong reminds that in addition to visible symptoms such as lower back pain and hematuria, asymptomatic complications are actually more serious. Long term urinary tract obstruction caused by kidney stones can lead to gradual loss of kidney function on the affected side, and in severe cases, it can lead to serious complications that endanger life, such as loss of kidney function, cancer, and even septic shock.

The larger the stone, the less painful it may be

But holding back a big move

In the interview, Dr. Wu Tielin from the Department of Urology at Li Huili Hospital mentioned several common misconceptions about urinary tract stones:

01

Does urinary tract stones cause lower back pain?

Urinary stones, also known as urolithiasis or urinary tract stones, include kidney stones, ureteral stones, bladder stones, and urethral stones, with the most common being kidney stones and ureteral stones. Generally speaking, the most typical symptoms are lower back pain and hematuria, which may be accompanied by symptoms such as nausea, vomiting, and bladder irritation. When kidney stones move down into the ureter, they can cause severe lower back pain, a phenomenon known as renal colic.

But if kidney stones do not fall into the ureter or if stones in the ureter cause obstruction of the ureter, there may be no obvious symptoms. However, hydronephrosis, like boiling a frog in warm water, gradually increases in size, which may lead to patients missing the optimal treatment opportunity and irreversible damage to kidney function.

In clinical practice, doctors generally recommend that people who have had urinary stones undergo a follow-up examination every 6-12 months to prevent recurrence of stones and serious hydronephrosis.

02

The larger the stone, the more severe the pain?

Many people find that kidney stones are very small, only five or six millimeters, and they stop caring after the pain has passed; Some people have discovered a 1-centimeter stone but do not feel pain, so they do not take it to heart.

Renal colic is essentially a manifestation of natural stone discharge in the human body. It is caused by the significant movement of kidney stones along the ureter, leading to ureteral spasms and obstruction caused by stones in the ureter. The sudden increase in renal pressure often leads to severe and unbearable pain, and patients often seek medical attention in a timely manner. These stones are generally small in size and flexible enough to have a chance of natural discharge. Therefore, this pain is not related to the severity of the disease. If this type of stone does not require surgical intervention, a follow-up examination is required after pain relief and stone drainage treatment to determine whether the stone has been discharged.

The larger the stone, the more likely it is to be embedded in the body, quietly becoming a demon. Therefore, the clinical symptoms of urinary tract stones are not related to the severity of the disease. Asymptomatic stones are more likely to numb the patient's psychology, miss the best opportunity for medical treatment, and ultimately lead to serious consequences, which need to be taken seriously.

03

Can you save yourself by changing your position?

Generally speaking, the stones that cause renal colic are located in the ureter, so it is unlikely to allow the stones to run out on their own by changing positions such as standing upside down or lying on their side. Often, it can only be solved through medication or surgery.

How to prevent urinary tract stones?

Pregnant women with a history of stone disease should pay special attention to it

Long Huimin reminds that for people who have never had stones in the past and have no underlying diseases, preventing urinary tract stones mainly involves improving dietary structure and paying attention to lifestyle.

Drinking more than 2L of water can increase urine output and reduce the risk of crystal deposition and formation of stones. Pay attention to pure water and minimize intake of sugary drinks, carbonated drinks, coffee, etc.

Vegetables with a small amount of sodium salt, moderate amount of protein, and high content of calcium oxalate. A high salt diet can lead to an increase in urinary calcium and an increased risk of urinary tract stones. For patients with hyperuricemia, it is recommended to reduce the intake of foods with high purine content, such as seafood and beer. However, for the general population, excessive protein intake can lead to elevated levels of uric acid, oxalic acid, calcium, phosphorus, etc. in urine, which can easily form stones. In addition, it is recommended to blanch vegetables such as spinach and grass heads that are rich in calcium oxalate before consumption.

Moderate exercise, weight control, frequent urination, and regular physical examinations are required.

Long Huimin reminds women who have stones in their bodies or have previously suffered from stones that if there is a need for pregnancy preparation, it is recommended to thoroughly remove stones and then put pregnancy preparation on the agenda. "Firstly, many examinations and procedures during pregnancy are limited, which can have an impact on diagnosis and treatment outcomes. Secondly, once a pregnant woman becomes infected, it can also affect the development of the fetus, which is not worth the loss."

Netizens have expressed their concerns

Exercise more and drink more water

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